{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T03:36:43Z","timestamp":1780976203346,"version":"3.54.1"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,7,26]],"date-time":"2023-07-26T00:00:00Z","timestamp":1690329600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Rural Health"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To investigate the prevalence of opioid use disorder (OUD) and medication treatment for OUD (MOUD) receipt in rural primary care settings and identify characteristics associated with MOUD among patients with OUD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Secondary analyses based on electronic health records of all adult patients who visited 1 of the 6 rural primary care clinic sites from October 2019 to January 2021. Mixed effects logistic regression was conducted to assess MOUD receipt (Y\/N) in relation to patient characteristics (eg, demographics, other substance use disorders [SUDs], mental health disorders, and chronic pain) and the number of MOUD prescribers per clinic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>The prevalence of OUD varied from 0.7% to 8.2% (Mean [SD] = 3.3% [95% CI: 0.4, 6.1]) among 36,762 primary care patients across 6 clinic sites. Among 1,164 patients with OUD, on average 50.1% received MOUD (95% CI: 28.0, 72.3). Patients in clinics with more than 3 MOUD prescribers had more than 3 times the odds of receiving MOUD (OR = 3.42; 95% CI, 1.22\u20109.62) as those in clinics with fewer than 3 prescribers. MOUD was positively associated with younger age (18\u201030 [OR = 6.97; 95% CI, 3.37\u201014.42], 31\u201064 [OR = 5.03; 95% CI, 2.64\u20109.57], relative to those 65 and older), having other co\u2010occurring SUDs (OR = 3.77; 95% CI, 2.57\u20105.52), being male (OR = 1.50; 95% CI, 1.12\u20102.01), and negatively associated with having chronic pain disorders (OR = 0.69; 95% CI, 0.50\u20100.94).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The prevalence of OUD and MOUD are high but vary considerably across rural primary care clinics; primary care MOUD prescribers play a key role on MOUD access in rural settings.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jrh.12785","type":"journal-article","created":{"date-parts":[[2023,7,27]],"date-time":"2023-07-27T03:11:30Z","timestamp":1690427490000},"page":"195-199","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Medication treatment for opioid use disorder among rural primary care patients"],"prefix":"10.1111","volume":"40","author":[{"given":"Yih\u2010Ing","family":"Hser","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Biobehavioral Sciences University of California Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuhui","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Biobehavioral Sciences University of California Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura\u2010Mae","family":"Baldwin","sequence":"additional","affiliation":[{"name":"Department of Family Medicine University of Washington Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Larissa J.","family":"Mooney","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Biobehavioral Sciences University of California Los Angeles California USA"},{"name":"VA Greater Los Angeles Healthcare System Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew J.","family":"Saxon","sequence":"additional","affiliation":[{"name":"Veterans Affairs Puget Sound Health Care System Seattle Washington USA"},{"name":"Department of Psychiatry and Behavioral Sciences University of Washington School of Medicine Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,26]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Centers for Disease Control and Prevention.Provisional Drug Overdose Counts. 2022. Accessed July 11 2022.https:\/\/www.cdc.gov\/nchs\/nvss\/vsrr\/drug\u2010overdose\u2010data.htm"},{"key":"e_1_2_7_3_1","unstructured":"Centers for Disease Control and Prevention. Overdose Deaths Accelerating During COVID\u201019. 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